Revision Rhinoplasty

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Revision Rhinoplasty

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Why do I need to wait so long?

Posted in Revision Rhinoplasty, Rhinoplasty on May 9th

Question:

I am extremely unhappy with my rhinoplasty results. My nose is too thin and points upwards like a ski slope. I have gone to see 2 plastic surgeons since the surgery and they will not perform revision rhinoplasty on me until it is at least 6-12 months from my first surgery. Why do I need to wait so long?

Answer:

It is important to wait at least 12 months before revision in order to allow complete healing to occur. The reason for this is to prevent over or under correction of the problem areas if the intervention is done during a period when the nose is still changing.

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How does a nose job fix the end of the nose?

Posted in Revision Rhinoplasty, Rhinoplasty on May 8th

Question:

I would like to remove a bulge at the end of my nose. It is just at the tip and does not involve my nostrils. How does a nose job fix the end of the nose? Will the extra tissue be cut off?

Answer:

Depending on what causes the "bulge" the solutions range from reshaping to conservative tissue removal to combinations of the two.

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Does anesthesia ensure that I won’t wake up in the middle of my operation?

Posted in Revision Rhinoplasty, Rhinoplasty on April 24th

Question:

During rhinoplasty, is it possible for the patient to wake up? For some reason this terrifies me. What type of anesthesia would ensure that I didn’t wake up during the procedure?

Answer:

This is a common fear though quite unfounded and more "urban legend" then real occurrence. Whether you are having general anesthesia or IV sedation, a qualified, certified anesthesiologist will not let you wake up during the procedure. There are many techniques to prevent this including the use of BIS monitors which measure brain wave activity while you are asleep.

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Is the revision surgery more difficult than the original rhinoplasty?

Posted in Revision Rhinoplasty on April 12th

Question:

I had a disastrous nose job last year. I am so embarrassed by my nose now that I have practically become a hermit because of it. I suffer from bouts of depression but I am ready to try to fix it. The tip of the nose projects too far forward and downward and the nose looks crooked. Do you think that this can be fixed given that there is probably scar tissue in my nose? Is the revision surgery more difficult than the original rhinoplasty?

Answer:

I am sorry you are having these problems. Scar tissue from previous surgery does make revision rhinoplasty surgery more difficult but the majority of patients can be helped to achieve their goals.

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Is there such thing as a simple rhinoplasty?

Posted in Revision Rhinoplasty, Rhinoplasty on March 8th

Question:

Twice in the past few months I have had someone comment rudely on the crookedness of my nose. It looks misshapen to me and always has. I would like my nose reshaped with a simple rhinoplasty. Is there such a thing as a simple rhinoplasty or do all nose jobs have some degree of danger associated with them?

Answer:

Rhinoplasty is never simple. Although from a medical point of view it is low risk, the technical execution of correcting a crooked and misshapen nose requires a lot of experience, skill and expertise. Having said that in proper hands you should have a marked improvement and not feel self conscious any longer.

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My nose looks droopy as I get older, is this fixable with rhinoplasty?

Posted in Revision Rhinoplasty, Rhinoplasty on March 7th

Question:

The very tip of my nose looks droops down. I am 64 years old, very conscious of my appearance, and never noticed this before. Does this sort of thing happen with aging? I want to have it lifted. Does this require rhinoplasty?

Answer:

Yes this is a common change with age and is one of the most frequent concerns I hear from my older patients seeking rhinoplasty. It is easily fixed with rhinoplasty and any of my most satisfied patients are mature adults who have addressed this problem.

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Is the nose becoming concave after a rhinoplasty a common problem?

Posted in Ethnic Rhinoplasty, Revision Rhinoplasty, Rhinoplasty on March 7th

Question:

On the Real Housewives of New Jersey, one of the housewives looks like she’s had an obvious nose job, like the bridge of her nose is sort of concave now. Is this a common problem with rhinoplasty and how do you avoid it?

Answer:

Tastes change over time and so do concepts of what is attractive. At one time the very "scooped" or concave bridge was considered desirable and sought after. Most patients today prefer a stronger more natural bridge. If a "scooped" appearance is not desirable to you then it is most important to discuss this with your surgeon beforehand and it can easily be avoided.

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What factors make someone not a good candidate for a revision rhinoplasty?

Posted in Ethnic Rhinoplasty, Revision Rhinoplasty, Rhinoplasty on March 3rd

Question:

Are there any factors that make someone not a good candidate for revision rhinoplasty?

Answer:

Unrealistic expectations would be my most significant cause. Otherwise thick, fibrotic, scarred skin and multiple previous surgeries would not portend a good result.

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